Certification Exam Preparation Syllabus Course Description: This self-paced, instructor-driven class will prepare those who have successfully completed a state- approved medical assistant program to sit for a national certification exam Resources: Elsevier online HESI Simulation and access to high speed internet (Place link here) Text Book options; (Choose one) a) Saunders Medical Assisting Exam Review 3 rd edition Deborah E. Barbier Holmes b) Comprehensive Medical Assisting Exam Prep for the CMA, RMA and CMAS 3d edition J.P. Cody Weekly instructor appointment: Coordinate an appropriate time to discuss your academic progress Student Learning Outcomes for Medical Assisting Certification Exam Prep 1. Assess readiness to prepare for the national examination using the pre-test activities 2. Use cognitive theory processes to design study strategies 3. Devise a study plan that includes reviewing all curriculum material in the content outlines from the HESI online Simulation 4. Apply study strategies leading up to the certification examination 5. Recognize how to use study materials and the study processes for focused 6. Differentiate among the categories of topics (general, administrative, or clinical) of the national certification examination 7. Use test-taking tips and strategies to select the correct answer in a simulated multiple-choice, standardized test
Certification Exam Preparation Syllabus Topics Activities and Assignments 1 2 3 Create an academic plan with your instructor Pre-test and scoring HESI pretest to evaluate student knowledge Introduction: why, where, how, and when to study Identify appropriate national exam Review of Medical Terminology Anatomy and Physiology Review of Psychology and Stages of Human Growth and Development Communication Law, Ethics, and HIPAA Professionalism and Career Development Computer Concepts, Written Communications, and Mail Processing Records Management Patient Reception Review of Office Management Finances Coding Register for the exam Create student HESI review packet Read and review chapters Complete chapter review assignments Highlight unknown words or concepts; Place highlighted words on index cards for continued study every day. Use simulated examinations or textbook CD to review daily. Read and review chapters Complete chapter review assignments Use simulated examinations or textbook CD to review daily. Read and review chapters Complete chapter review assignments Use simulated examinations or textbook CD to review daily.
4 Review of Health Insurance Certification Exam Preparation Syllabus Infection Control and Asepsis Vital Signs Read and review chapters Complete chapter review assignments Use simulated examinations or textbook CD to review daily. 5 6 Assisting with the Physical Examination Review of Assisting with Medical Specialties Nutrition Therapeutic Modalities and Physical Agents to Promote Tissue Healing Review of Radiography and Diagnostic Imaging Pharmacology, Medication Administration, and Intravenous Therapy Minor Surgery Clinical Lab First Aid and Office Emergencies HESI Post Test Did you register schedule your date? Medical Assisting Examination date Read and review chapters Complete chapter review assignments Use simulated examinations or textbook CD to review daily. Read and review chapters Complete chapter review assignments Use simulated examinations or textbook CD to review daily. AAMA-ntl.org, Place national exam links her
COMPETENCY BASED MEDICAL ASSISTANT TRAINING: Innovative Modularized Education for the Working MA Healthcare Education and the Affordable Care Act June 7, 2013
BROUGHT TO YOU BY
PRESENTERS Sandy Erlewine, CMA (AAMA), CPC Instructor Yakima Valley Community College Jennifer Johnston, MPH HEAL-MAP Project Coordinator Healthcare Professions Highline Community College Shirley Mohsenian, RN, BSN Yakima Valley Community College Medical Assisting Program Chair Lyn O'Neal, RMA (AMT) Department Chair Allied Health Department Skagit Valley College Connie Lieseke, CMA (AAMA), MLT, PBT (ASCP) Olympic College Medical Assisting Faculty Coordinator
WHO S HERE? Medical Assisting Educators HEET presenters from other projects SBCTC, DOH, SEIU, IRS Wanderers
WHAT DO YOU KNOW ABOUT THE NEW MA LAWS (ESSB 6237 AND HB 1515)? A) Not much! B) Trying to keep up C) I could explain it to you!
HEAL-MAP Healthcare Education for the Adult Learner Medical Assisting Pathways Seeking ways for incumbent MA s to meet the requirements of the new law to stay in their current position and potentially increase their earning, leadership and career pathway potential.
OUR ASSUMPTIONS Many working MA s will transition to MA-Registered (MA-R) through provider attestation. Many others, including MA-R s, may want to qualify as MA- Certified (MA-C). Some may need only preparation for one of the national exams. Others will need to complete an approved program first.
WHAT S AVAILABLE? An exam preparation module with pre-assessment, practice tests and (eventually, field-tested post-tests with remediation and study packets). Prior Learning Assessment A full MA program with modularized curriculum, competency-testing, online and in-person learning and assessment opportunities Intensive, personalized faculty mentoring
WHAT S COMPETENCY-BASED EDUCATION? Similar to what Medical Assisting programs already include, there is rigorous competency assessment Incumbent workers may be able to complete a competency assessment in areas they have expertise and experience Learning modules will follow the principles of Universal Design for Learning, with multiple modes of presentation, representation and evaluation
CENTER OF EXCELLENCE FOR ALLIED HEALTH WILL HOUSE THE CURRICULUM, AND IT WILL BE OPEN SOURCE http://www2.yvcc.edu/coe/heet/ma.html
INCUMBENT MEDICAL ASSISTANTS Some have already been identified through the labor/management partnership May go through their SEIU Healthcare 1199 NW Multi Employer Training Fund Contact one of the partner schools directly Seek support from their employer to support their path to MA-C Contact YOU!
Questions and Conversations
COMPETENCY BASED MEDICAL ASSISTANT TRAINING: Innovative Modularized Education for the Working MA Healthcare Education and the Affordable Care Act June 7, 2013
Healthcare Education Conference South Seattle Community College Lyn O Neal RMA, (AMT) June 7, 2013
HEET Innovations Project Competency Based Modularized Education MEDICAL ASSISTANT EXAMINATION PREPARATION FOR QUALIFIED INCUMBENT WORKERS
GOALS Evaluate incumbent non-certified Medical Assistants skills and knowledge Provide a self-paced, instructor-driven class that will prepare those who have successfully completed a state- approved medical assistant program to sit for a national certification exam Keep everyone working within the appropriate scope of practice
STEPS 1-3 1. Contact one of the currently participating community colleges within the state Highline Community College Olympic Community College Skagit Valley College Yakima Community College 2. Set up an appointment with a faculty member at the selected college 3. Register with the college
STEPS 4-7 4. Register to take the HESI Exam 5. Take the proctored HESI Exam 6. Individualized study packets are developed for each Medical Assistant 7. Meet with Faculty-Mentor on a weekly basis and complete study packets
STEPS 8-11 8. Take Practice exam 9. Obtain permission from Faculty-Mentor to take national exam 10. Take and pass national exam 11. Apply for State MA-C certification
HESI EXAM INFORMATION In developing our exams, all test items have been written by subject matter experts, such as Medical Assisting educators and clinicians. Questions are written according to a critical thinking model, and then reviewed by an expert panel for style, consistency, readability, bias, reliability, and validity. Before a question is approved for inclusion in the HESI Medical Assisting Exit Exam, it is piloted as a non-scored test item using a nationwide sample of medical assisting students. This is to ensure our tests are reliable, valid, and reflective of the medical assisting students who are graduating and preparing for success on their certification examination. Because we follow this stringent test development review process, you can be sure that each test will accurately measure students knowledge and critical thinking ability. HESI Testing & Remediation draws upon 20 years of research on test development. In fact, our research has been published in many prestigious, peer-reviewed journals.
HESI EXAM INFORMATION A rigorous, scientific process. Proven accuracy. Our research passes the tests. TEST QUESTION DEVELOPMENT Prepare students for graduation and beyond with the HESI Medical Assisting Exit Exam. The institutional student aggregate report is prepared for every school that administers our exams, providing helpful information for curriculum evaluation. Institutional diagnostic reports include an item-by-item topic comparison between your group s percentage answered correctly and the national group norm answered correctly. Tracking reports allow you to monitor each student s remediation activities, so you can take a more active role during the valuable study time before the licensure exam. Personalized remediation is provided for test items that were answered incorrectly, so a student knows exactly what areas need improvement and where to access the material to study. Personalized remediation is included at no additional cost with or without a textbook adoption. To learn more, visit elsevieradvantage.com/assessment, contact your Elsevier Education Solutions Consultant or call Faculty Support at 800.222.9570
Understanding HESI Medical Assisting Practice Tests Pre-built, non-proctored practice tests designed to assess knowledge and understanding of concepts. Helps to prepare students for standardized testing with examination-style practice questions written at the application level. Includes 200 multiple-choice and alternate item format practice questions. Correct answers and detailed rationales are provided for each question - both right and wrong. Use Practice Tests for: Preparation and practice for HESI Exams Remediation
Understanding HESI Medical Assisting Practice Tests (con t )
Engrossed Substitute Senate Bill 6237, (ESSB 6237) chapter 153, laws of 2012, created the medical assistant profession. This law has been codified as Chapter 18.360 RCW. We'll transition from the health care assistant profession to the medical assistant profession. The new profession consists of 4 new categories Medical Assistant Certified Medical Assistant Registered Medical Assistant Phlebotomist Medical Assistant Hemodialysis Technician
What is the effective date of the new medical assistant profession? July 1, 2013. Do I need a healthcare credential from the Department of Health? If you are practicing medicine, or assisting in the practice of medicine, you must have a healthcare credential issued by the Washington State Department of Health. There are many types of licenses that grant different scopes of practice and require different levels of education. Chapter 18.360 RCW requires people in healthcare facilities, who act as medical assistants, to have a credential. Practicing as a medical assistant includes many duties identified in RCW 18.360.050. Examples include administering single dose vaccines and intravenous injections, assisting in certain medical procedures and withdrawing blood.
the following health care practitioners are authorized to delegate to, and supervise, a medical assistant: a physician or an osteopathic physician; a podiatric physician and surgeon; a registered nurse; an advanced registered nurse practitioner; a naturopath; an optometrist; a physician assistant; an osteopathic physician assistant.
MA-C is a portable credential (registration) MA-R is limited to the attestation MD or facility. Must register with each new employer. Current HCA registration who are in HCA categories of C, D, E, or F will automatically grandfather into the MA-C
DOH Website http://www.doh.wa.gov/licensespermitsandc ertificates/professionsnewreneworupdate/m edicalassistant/applicationsandforms.aspx
Frequently Asked Questions from the DOH Website I work in a healthcare facility and am called a medical assistant but I don t have any type of credential from the Department of Health. Will I automatically become a medical assistant? No. If you do not have an active health care assistant credential before July 1, 2013, but are completing duties outlined in RCW 18.360.050, you must meet the minimum requirements currently being set in rule to apply for and receive a medical assistant credential.
How do I obtain a medical assistant-certified credential? Complete the required medical assistant training that will be identified in rule. Pass an examination approved by the secretary. Applicants may receive an interim certification if they have met all of the qualifications required for certification except for passage of the examination. The interim permit will expire upon passage of the examination or after one year whichever occurs first, and is not renewable. Complete a Department of Health application and pay a fee. Medical assistant applications will be available June 1, 2013. Any additional requirements may be added in rule.
How do I obtain a medical assistantregistered credential? Registration is an endorsement by a healthcare practitioner, clinic or group practice. You must file an attestation of the endorsement with the Department of Health. Complete a Department of Health application, submit the attestation of endorsement and pay a fee. Medical assistant applications will be available June 1, 2013.
Will my health care assistant credential transition to a new medical assistant category when it's due for renewal or on July 1, 2013? Active health care assistant credentials that are in good standing on June 30, 2013, will transition to a new category of medical assistant on July 1, 2013. Even if you don't receive your new medical assistant credential in the mail on July 1, 2013, as long as you are listed as having an active credential on the department s Provider Credential Search, you may legally practice as a medical assistant.
Will the expiration date change for my new medical assistant credential? Yes, medical assistant credentials will expire on the credential holder s birthday. Pursuant to WAC 246-12-020, if the initial credential is issued within 90 days of the practitioner's birthday, then the credential does not expire until the following birthday. For example, a health care assistant with a birthday of August 6, whose credential converts to a medical assistant on July 1, 2013, would not have to renew that credential until August 6, 2014. However, if the same health care assistant s birthday fell on November 15, he or she would have to renew by November 15, 2013.
What duties can a medical assistant-certified perform? See RCW 18.360.050 (1). What duties can a medical assistanthemodialysis perform? See RCW 18.360.050 (2). What duties can a medical assistantphlebotomist perform? See RCW 18.360.050 (3). What duties can a medical assistantregistered perform? See RCW 18.360.050 (4).
Medical Assistants, New Chapter 246-827 WAC Changes other than editing made to the proposed rules for the rules as adopted
Unit Medical Terminology Modules Competency Standard Word Parts: *Word Roots *Suffixes *Prefixes *Combining vowels *Combining Forms C.IV 10, 11 Assignments Assessments Terms for organization of the body C.I 1 Anatomical Terms of Direction C.I 3 Physiology Terms C.I 5 Anatomy & Physiology Oncology Terms C.I 6 Anatomical Regions/Planes/Positions/Ca vities C.I 3 Homeostasis C.I 8 Cellular Structure and Function C.I 1 Tissues/Organs/Systems C.I 1,2,4 Pathophysiology Applied Mathematics Definition/Classification of Disease C.I 6,7
Unit Modules Competency Standard Assignments Assessments Pharmacology C.II 1-7 C.I 11, 12 C.II 6 Law & Ethics C.IX 13 C.IX 1-14 C.X 1-5 P.IX 1 P.IX 5,6 P.IX 8 P.X 1,2 Communications A.X 2 C.IV 1-7 C.IV 13-16 P.IV 1-3 P.IV 7 P.IV 11 P.IV 13
Unit Modules Competency Standard Assignments Assessments A.IV 4 A.IV 6 Clinical Procedures A.IV 8,9,10 Infection control-asepsis technique C.III 1-8 C.III 11,12,13 C.XII 1 P.III 1-6 Measurement body functions C.II 7 P.I 1 P.I 6 P.I 10 P.II 3 P.IV 8,9 P.IX 7 A.I 1-3 A.IV 4 Assisting with physical exam P.I 10 P.III 2,3
Unit Modules Competency Standard Assignments Assessments P.IV 6 P.IV 8 A.I 1-3 A.IV 3 Assisting with minor surgery C.III 8 P.I 10 P.III 2,3,4 P.IV 6 P.IV 8,9 A.III 2,3 Activities C.XI 10 P.IV 5 P.IV 8,9 P.XII 11 Sensory systems and neurological exam C.II 3 C.IV 7 P.I 6 P.IX 7 A.II 2
Unit Modules Competency Standard Assignments Assessments Lab/microbiology C.III 4 C.III 9,10 C.III 12 C.XI 2 P.I 3 P.I 6 P.I 11, 12,13,14,15 P.II 2 P.III 2,3,4 P.III 7,8 P.IV 6 P.XI 1 P.XI 5 A.II 2 A.III 1,2,3 A.IV 1 A.IX 3 A.X 1 Medication Administration C.I 12
Unit Modules Competency Standard Assignments Assessments C.II 2 C.II 5,6 P.I 7,8,9 P.II 1 P.III 2,3,4 P.IV 6,8 P.IX 2,7 A.I 1-3 A.II 1 A.III 2,3 A.IV 1-10 A.IX 1-3 A.X 1 Phlebotomy C.III 12 C.XI 2 P.I 2 P.III 2-4 P.IV 6 P.IX 4
Unit Modules Competency Standard Assignments Assessments P.XI 1 P.XI 5c A.III 1-3 A.IV 1 Cardiac and Respiratory C.II 7 P.I 4,5 P.I 16 P.IV 6 P.IX 2 A.II 2 A.IV 10 A.X 1 A.X 10 Urinary and reproductive C.II 7 C.III 8,9 C.III10 P.I 10 P.I 14 P.III 2,3,4
Unit Modules Competency Standard Assignments Assessments P.III 7,8 P.IV 2,3, 5,6, 8, 9 P.IX 3 A.II 2 A.III 1,2,3 Digestive and nutrition C.II 7 C.III 12 P.III 2,3,4 P.IV 5 P.IV 9 A.III 1,2,3,4,5 Managed Care/Insurance A.IV 7 C.VII 1-12 P.VI 3 P.VII 1-6 Coding A.VII 1-3 C.VIII 1-4 P.VIII 1,2
Unit Modules Competency Standard Assignments Assessments Office Emergencies A.VIII 1 C.XI 1-4 & 7-13 P.XI 1-8 & 12 A.XI 1-2 CPR/First Aid C.XI 5,6 Administration P.XI 9-11 C.IV 8,9 C.V 1-14 C.VI 1-13 P.IV 4,10,12 P.V 1-10 P.VI 1-3 A.V 1-2 A.VI 1
Medical Terminology Lesson 1: The Basics Completed Assignment Due Date Score Required Complete the Competency Assessment Exam : Medical Terminology Basics 80% This is a proctored exam that must be completed in a designated exam proctoring site. Read in your textbook: NAME OF TEXT HERE Chapter X, Word Parts: Suffixes/ Prefixes/ Combining Vowels/ Combining Forms View the online Lesson Presentation Complete Assignments 1-5 Self-Assessment Quiz 1.1 Read in your textbook: NAME OF TEXT HERE Chapter X, Terms for Organization of the Body View the online Lesson Presentation Complete Assignments 6-10 Self-Assessment Quiz 1.2 Read in your textbook: NAME OF TEXT HERE Chapter X, Anatomical Terms of Direction
View the online Lesson Presentation Complete Assignments 11-14 Self-Assessment Quiz 1.3 Read in your textbook: NAME OF TEXT HERE Chapter X, Physiology Terms View the online Lesson Presentation Complete Assignments 15-19 Self-Assessment Quiz 1.4 Read in your textbook: NAME OF TEXT HERE Chapter X, Oncology Terms View the online Lesson Presentation Complete Assignments 20-23 Self-Assessment Quiz 1.5 Complete the Final Assessment Exam : Medical Terminology Basics 80% This is a proctored exam that must be completed in a designated exam proctoring site.
Medical Assistants, New Chapter 246-827 WAC Changes other than editing made to the proposed rules for the rules as adopted Rule as proposed in WSR 13-08-083 WAC 246-827-0110(3)(f) Delegation and Supervision (3) A medical assistant may only accept delegated tasks when: (f) The task, if performed improperly likely would not present life-threatening consequences or the danger of immediate and serious harm to the patient. WAC 246-827-0200(1)(b) Medical assistant-certified Training and examination (1) Successful completion of one of the following medical assistant training programs: (b) Postsecondary school or college accredited by a regional or national accrediting organization approved through the U.S. Department of Education, which includes a minimum of seven hundred twenty clock hours of training in medical assisting skills, including a clinical externship of no less than one hundred sixty hours; WAC 246-827-0200(2) Medical assistant-certified Training and examination. Certification requirements Applicants for a medical assistant-certified credential must meet the following requirements: (2) Pass one of the following examinations within three years prior to submission of an initial application for this credential: Page 1 Rule as adopted WAC 246-827-0110(3)(f) Delegation and Supervision (3) A medical assistant may only accept delegated tasks when: f) The task, if performed improperly by: (i) A medical assistant-certified, medical assistant-registered, or a medical assistant-phlebotomist would likely not present life-threatening consequences or the danger of immediate and serious harm to the patient. (ii) A medical assistanthemodialysis technician is not likely to present life-threatening consequences or the danger of immediate and serious harm to the patient. WAC 246-827-0200(1)(b) Medical assistant-certified Training and examination (1) Successful completion of one of the following medical assistant training programs: (b) Postsecondary school or college accredited by a regional or national accrediting organization recognized by the U.S. Department of Education, which includes a minimum of seven hundred twenty clock hours of training in medical assisting skills, including a clinical externship of no less than one hundred sixty hours; WAC 246-827-0200(2) Medical assistant-certified Training and examination Certification requirements Applicants for a medical assistant-certified credential must meet the following requirements: (2) Pass one of the following examinations within five years prior to submission of an initial application for this credential: Reason The change makes the rule consistent with changes to RCW 18.360.060 made by Engrossed House Bill 1515 (2013). Commenters noted that the subsection as proposed was not consistent with the bill. The change clarifies that the U.S. Department of Education recognizes accrediting agencies, but does not approve them. Setting a limit for when applicants may take an examination prior to application helps assure that the applicant is tested on the most current training standards. Changing the period that a medical assistant-certified applicant may take one of the available examination options from three to five years
Medical Assistants, New Chapter 246-827 WAC Changes other than editing made to the proposed rules for the rules as adopted Rule as proposed in WSR 13-08-083 WAC 246-827-0220 (1)(d) Medical assistant-certified -Application -Interim certification. (1) Application requirements Applicants for a medical assistantcertified credential shall submit the following:...(d) Proof of successful completion of an approved examination under WAC 246-827-0200(2), completed within three years prior to submission of an initial application for this credential; 246-827-0240(3) Medical assistantcertified Administering medications and injections. (3) A medical assistant-certified is prohibited from administering schedule II controlled substances, chemotherapy agents or experimental drugs. 246-827-0240(5) Medical assistantcertified Administering medications and injections (5) A medical assistant-certified may only administer medications by the following drug category, route and level of supervision: Page 2 Rule as adopted WAC 246-827-0220 (1)(d) Medical assistant-certified -Application -Interim certification. (1) Application requirements Applicants for a medical assistantcertified credential shall submit the following:...(d) Proof of successful completion of an approved examination under WAC 246-827-0200(2), completed within five years prior to submission of an initial application for this credential; 246-827-0240(3) Medical assistantcertified Administering medications and injections (3) A medical assistant-certified is prohibited from administering: (a) Schedule II controlled substances, chemotherapy agents or experimental drugs; or (b) Medications through a central intravenous line. 246-827-0240(5) Medical assistantcertified Administering medications and injections (5) A medical assistant-certified may only administer medications by the following drug category, route and level of supervision: Reason is more consistent with the national MA certification cycle for most applicants. The change will mean fewer applicants who have national MA certification will need to pay for the cost of retaking an exam prior to application, addressing concerns raised by some commenters. The change in subsection (1)(d) makes it consistent with the change in WAC 246-827-0200(2), which pertains to the time limit for taking an examination. (See the row above.) The change in subsection (3) helps clarify what routes are prohibited as well as what medication administration routes are permitted in subsection (5) for a medical assistantcertified. This addresses a concern raised by some commenters. Commenters noted that in the table in subsection (5) the row for Other legend drugs: Intravenous injections was missing the word peripheral consistent with other rows in this table. The asterisked wording after the table also
Medical Assistants, New Chapter 246-827 WAC Changes other than editing made to the proposed rules for the rules as adopted Rule as proposed in WSR 13-08-083 Drug Routes Category Permitted* Other legend drugs Intravenous injections Level of Supervision Required Direct visual supervision Rule as adopted Drug Category Other legend drugs Routes Permitted* Peripheral intravenous injections Level of Supervision Required Direct visual supervision * A medication assistant-certified is prohibited from administering medications through a central intravenous line. Reason clarifies the intended effect of subsection (5) that a MA-C cannot administer medications via a central intravenous line. We also reordered the rows for Other legend drugs for consistency within the table. These changes address a concern raised by some commenters. WAC 246-827-0310(1) Medical assistant-registered -Endorsement. (1) A medical assistant-registered shall have a current attestation, signed by a health care practitioner, of his or her endorsement to perform specific tasks. WAC 246-827-0400(1) Medical assistant-phlebotomist -Certification and training. Certification requirements. Applicants for a medical assistantphlebotomist credential must meet the following requirements: (1) Successful completion of an approved phlebotomy program through an accredited postsecondary school or college; WAC 246-827-0410(3) Medical assistant-phlebotomist -Application. Application requirements Applicants for a medical assistantphlebotomist credential shall submit the following: (3) Proof of successful completion of an accredited phlebotomy program or successful completion of a phlebotomy training program as attested by the phlebotomy training program's supervising health care practitioner; Page 3 WAC 246-827-0310(1) Medical assistant-registered -Endorsement. (1) A medical assistant-registered shall have a current attestation, that is filed with the department and signed by a health care practitioner endorsing him or her to perform specific tasks authorized in RCW 18.360.050(4). WAC 246-827-0400(1) Medical assistant-phlebotomist -Certification and training. Certification requirements. Applicants for a medical assistantphlebotomist credential must meet the following requirements: (1) Successful completion of a phlebotomy program through a postsecondary school or college accredited by a regional or national accrediting organization recognized by the U.S. Department of Education; WAC 246-827-0410(3) Medical assistant-phlebotomist -Application. Application requirements Applicants for a medical assistantphlebotomist credential shall submit the following: (3) Proof of successful completion of a phlebotomy program through a postsecondary school or college accredited by a regional or national accrediting organization recognized by the U.S. Department of Education or The rule was revised to clarify that the tasks a medical assistantregistered may perform (scope of practice) are contained in statute, RCW 18.360.050(4). The rule was revised to clarify that a phlebotomy program must be offered by an accredited school or college, consistent with WAC 246-827-0200. The department does not intend to approve programs offered in a postsecondary school or college. The rule was revised to clarify who recognizes the accreditation of postsecondary schools and college and make it consistent with WAC 246-827-0200 and WAC 246-827-0400(1). The department does not intend to approve programs offered in a postsecondary school or college.
Medical Assistants, New Chapter 246-827 WAC Changes other than editing made to the proposed rules for the rules as adopted Rule as proposed in WSR 13-08-083 Rule as adopted successful completion of a phlebotomy training program as attested by the phlebotomy training program's supervising health care practitioner; Reason Page 4